| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WILLIS TOWERS WATSON US LLC0 | COMMISSION LOCKBOX 28852 PO BOX 28852 NEW YORK, NY 100878852 | AMERICAN FAMILY LIFE ASSURANCE CO. OF NY | $0 | $44K | $44K | 1.92% |
| WILLIS TOWERS WATSON US LLC3 | PO BOX 28852 NEW YORK, NY 100878852 | FIRST SYMETRA NATIONAL LIFE INS CO OF NEW YORK | $62K | $67K | $129K | 10.42% |
| WILLIS TOWERS WATSON US LLC3 | PO BOX 28852 NEW YORK, NY 100878852 | KAISER FOUNDATION HEALTH PLAN INC | $14K | — | $14K | 2.06% |
| AMERICAN BENEFITS AND COMPENSATION3 Filed as: AMERICAN BENEFITS & COMPENSATION SY | 101 PARK AVENUE 14TH FLOOR NEW YORK, NY 10178 | METROPOLITAN GENERAL INSURANCE COMPANY | $14K | — | $14K | 9.89% |
| AMERICAN BENEFITS AND COMPENSATION3 Filed as: AMERICAN BENEFITS & COMPENSATION SY | 380 LEXINGTON AVENUE SUITE 3610 NEW YORK, NY 10168 | METROPOLITAN GENERAL INSURANCE COMPANY | $0 | $3K | $3K | 2.05% |
| AMERICAN BENEFITS AND COMPENSATION3 Filed as: AMERICAN BENEFITS & COMPENSATION SY | 101 PARK AVENUE 14TH FLOOR NEW YORK, NY 10178 | METROPOLITAN GENERAL INSURANCE COMPANY | $0 | $139 | $139 | 0.10% |
| AMERICAN BENEFITS & COMP SYSTEMS3 Filed as: AMERICAN BENEFITS AND COMP SYS INC | 99 PARK AVE FL 25 14TH FLOOR NEW YORK, NY 100161601 | METROPOLITAN GENERAL INSURANCE COMPANY | $0 | $54 | $54 | 0.04% |
| WILLIS TOWERS WATSON US LLC3 | PO BOX 28852 NEW YORK, NY 100878852 | KAISER FOUNDATION HEALTH PLAN INC | $2K | — | $2K | 2.18% |
| WILLIS TOWERS WATSON US LLC0 | COMMISSION LOCKBOX 28852 PO BOX 28852 NEW YORK, NY 100878852 | AMERICAN FAMILY LIFE ASSURANCE CO. OF NY | $0 | $2 | $2 | 1.24% |
No Schedule C service providers reported on this filing.
Benefits declared on the Form 5500 main form (✓ = also has a Schedule A insurance contract; otherwise the benefit is funded out of plan assets or via a Schedule C TPA).
The plan reports several different headcounts depending on which form you read. Each one measures a different slice of the population.
| Active participants | 2,659 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1,214 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 52 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 3,925 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN INC | 66 | $773K |
| Dental | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | 623 | $215K |
| Vision | VISION SERVICE PLAN | 1,970 | $461K |
| Life insurance | AMERICAN FAMILY LIFE ASSURANCE CO. OF NY | 2,919 | $2.3M |
| Long-term disability | AMERICAN FAMILY LIFE ASSURANCE CO. OF NY | 2,919 | $2.3M |
| Stop-loss / reinsurancereinsurance | FIRST SYMETRA NATIONAL LIFE INS CO OF NEW YORK | 2,320 | $1.2M |
| Other(4 contracts, 3 carriers) | AMERICAN FAMILY LIFE ASSURANCE CO. OF NY | 2,919 | $2.7M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,919 | — |
Why the numbers differ. Form 5500 line 6 counts employees + retirees + beneficiaries; no dependents. Schedule A persons-covered counts everyone enrolled, including spouses and children, so it usually exceeds line 6 by 30-60% on a working-age workforce. The medical row is normally the broadest single line because it has the highest take-up; dental/vision/life often dip below it. Stop-loss / reinsurance contracts sometimes report the carrier's full underwriting pool rather than this filer's headcount; the row is shown for transparency but shouldn't be read as "people in this plan."
No prospect flags tripped on this filing.